Matthew Thomas Blaseg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

779 Issued in SD

Practice address

640 E Sioux Ave Ste 3
Pierre, SD 57501-3300

Phone

(605) 224-6128

Fax

(605) 224-8446

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Dakota Eyecare LLPGroup PAC ID 9436131802, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.69 of 100Reported as group

Quality

71.39

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mblaseg@cde.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Dakota Eyecare, LLP

  • Optometrist
  • Pierre, SD
  • NPI 1043418510
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1740912039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE STE 3",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E SIOUX AVE STE 3",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575013300",
            "telephone_number": "605-224-6128",
            "fax_number": "605-224-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASEG",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Bisek, MA
• Black Hills Special Services
• Black Hills Special Services Cooperative
• Vicki Blake-Nafus, PA
• Anthony Ray Blake, D.C.
• Kirsten Bluestone
• Katherine Bonnichsen, MD
• Teresa Jo Bormann, M.D.
• Michelle M Bowman, CCDCI
• Melissa Jane Boyer, PSY.D.

• Optometrist in Pierre, SD
• Providers in Pierre, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.